提供慢性阻塞性肺病患者的息护理:叙述性综述
Amy Pascoe1, Catherine Buchan1, Natasha Smallwood2
1Respiratory Research@Alfred, School of Translational Medicine, Monash University, Prahran, VIC, Australia.
Annals of palliative medicine
|June 21, 2024
概括
患有严重慢性阻塞性肺病 (COPD) 的人往往缺乏足够的息治疗. 改善接入需要将专业息护理整合到呼吸服务和培训全科医生提供者中.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 呼吸系统医学 呼吸系统医学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性阻塞性肺病 (COPD) 是全球主要的死亡和残疾原因,其特点是逐渐限制空气流量.
- 严重的慢性肺炎严重影响生活质量,原因是呼吸困难,疲劳和焦虑等衰弱症状.
- 了解息护理需求对于改善COPD患者生命末期护理至关重要.
研究的目的:
- 审查COPD患者的息护理规定.
- 检查当前严重COPD患者获得息护理的情况.
- 为了确定这一群体的息护理的障碍和促进者.
主要方法:
- 对COPD的专家和全科医生息护理进行叙事性审查.
- 强调呼吸困难症状的管理.
- 对当前的息护理提供,障碍和促进者的分析.
主要成果:
- 严重的COPD患者在终身护理中服务不足,类似于晚期癌症患者.
- 障碍包括有限的专业资源,预后不确定性和对需求的认知不足.
- 早期的息护理整合改善了症状控制,死亡地点和法律准备.
结论:
- 许多患有高症状负担的COPD患者没有获得足够的息治疗.
- 扩大息护理能力至关重要.
- 将专业息护理整合到呼吸服务中,并提高全科医生提供者的技能是关键策略.
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